Dana Anderson
LPN
Newington,CT
Summary
Successful MDS Coordinator with significant experience assessing residents and managing resulting data. Effective at training and monitoring staff work to deliver consistent, reliable results. Collaborates effectively at all levels to help patients get optimal care.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Licensed Practical Nurse
The Place At Stuart
Stuart, FL
01.2012 - 01.2013
- Administered prescribed medication to70-80 residents
- Assist staff nurse with skilled treatments
- Supervise 2-3 staff CNAs
- Admissions and Report to MD/NP any changes in pt conditions, lab values, etc
- Report to family members of residents
- Discharges residents
- Facilitate emergency care.
Licensed Practical Nurse
Port St Lucie Hospital/ Behavior Health
Port Saint Lucie, FL
01.2012 - 01.2013
- Checked 1-2 admitted patients in daily basis
- Reviewed and recording physical and psychological status
- Provided medical help for patients that suffer from serious mental illnesses
- Performed as part of a multi-disciplinary team member
- Interpreted 9-15patient's response to treatments
- Assisted patients in mental disorders or problems
- Assessed patient requirements and expanding nursing plans of treatment
- Controlled violent patients
- Obtained medical history and family background of newly admitted patients
MDS/Clinical Case Manager
Civita Care Center
Newington, CT
11.2023 - Current
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Gathered and recorded patient health information and data to assess, identify and manage characteristics that affect care outcome.
- Observed, monitored, and reported changes in patient condition to supervising RN or physician in accordance with policies and procedures of medical facility.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
- Educated patients and caregivers on healthcare protocols and processes.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Verified prompt and accurate completion of MDS activities for billing.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Assessed electronic medical record for required documentation to support MDS coding.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
MDS Coordinator
TRINITY HILL CARE CENTER
Hartford, CT
05.2022 - 11.2023
- Conducted assessments to determine the 6 to 10 resident's functional and cognitive abilities, as well as their level of care needs per week.
- Monitored 6 to 10 residents' progress and updated MDS records accordingly.
- Developed individualized plans of care for each resident based on assessment findings.
- Collaborated with interdisciplinary teams to develop comprehensive care plans weekly.
- Provided training and education to nursing staff on current MDS regulations.
- Assisted in developing and implementing quality assurance programs related to MDS completion.
- Interpreted physician orders for accuracy and completeness prior to submitting them electronically into the MDS system.
- Reviewed clinical documentation to ensure accuracy of information reported on the MDS forms.
- Coordinated timely submission of all required documents including Minimum Data Set forms, Care Area Assessments, Quarterly Assessment Reconciliation, Annual Assessment Reconciliations and other regulatory paperwork.
- Participated in survey preparation activities by ensuring that all necessary documents were available during surveys conducted by state agencies or accreditation organizations.
- Facilitated weekly team meetings with members from other departments such as Social Services, Dietary, Activities, Rehabilitation services, to discuss resident issues and concerns related to the MDS process.
- Audited monthly MDS submissions for accuracy, timeliness, completeness and compliance with applicable regulations.
- Assisted in identifying opportunities for improvement in processes related to the completion of the MDS form.
- Ensured that changes made to an existing plan of care corresponded with appropriate changes made on the corresponding MDS form.
Clinical Reviewer
CareCentrix
Hartford, CT
02.2018 - 09.2022
- Perform an initial evaluation of the referrals appropriateness 13-15 per day
- Review for information needed to make a medical necessity determination
- Requests additional clinical information when needed to render a decision and determines next steps
- Use clinical expertise, reviews clinical information and clinical criteria to determine if the service/device meets medical necessity for the member
- Ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards to meet both contractual and regulatory requirements
- Interact with the Medical Director as needed to ensure proper medical necessity decisions are being rendered
- Act as a clinical resource to department care coordinators, providing expertise and clinical knowledge
- Develop sand maintain a working knowledge of all services/guidelines/policies and accesses
- Manage multiple tasks, is detail oriented, be responsive, and demonstrate independent thought and critical thinking.
Residential Camp nurse
Middlesex County Camp
Modus Ct
06.2017 - 08.2017
- Provided medical care and first aid to campers and staff in case of illness or injury.
- Monitored the health of all campers, including taking temperatures and documenting any changes in their physical condition.
- Maintained accurate records of campers' medical histories, immunizations, medications, and allergies.
- Educated staff on proper safety protocols for administering medication to campers.
- Instructed campers on proper hygiene practices as well as general health topics such as nutrition and exercise.
- Performed routine check-ups on campers with chronic illnesses or special needs.
- Coordinated with parents regarding their child's health while at camp.
- Managed a 24-hour emergency response system for medical emergencies that arose during the night or weekend hours.
- Developed individualized plans of care for each camper based upon the camper's specific needs.
- Dispensed over-the-counter medications to campers according to written physician orders.
- Counseled counselors and other staff members about mental health issues they may have been experiencing due to working with children in a high-stress environment.
- Assessed potential environmental hazards that could adversely affect the health of the campers and staff members, then took appropriate action to mitigate these risks.
Visiting Nurse
Primary Prevention Healthcare
Hartford, CT
03.2014 - 06.2017
- Travel 20-40 mile in the greater Hartford territory to provide home healthcare services to adult and elderly clients diagnosed with various chronic to terminal conditions
- Asses, monitor, and document patents progress vital signs on each visit in home setting
- Provided disease prevention and health promotion
- Educate clients and their family on safe treatment of injuries, illnesses and condign
- Administer medication as ordered by MD
- Perform skilled procedures to include injections.
Juvenile Correctional Nurse
Maxim Staffing / HJDC
Hartford, CT
01.2013 - 01.2014
- Complete assessments for 2 to 7 intakes per shift
- Conduct informational Health Classes to children detainees
- Monitor changes in detainees physical and emotional condition
- Report to MD/NP any changes in detainee conditions, lab values, etc
- Administered prescribed medication to over 40detainees per shift.
Assistant Case Manager
Interim Healthcare
West Palm Beach, FL
01.2011 - 01.2012
- Scheduled 6-12 in-home service staff daily appropriately to meet participant needs
- Ensured that all required personal documents are forward prior to the first home care assignment
- Communicated staffing needs and ability to meet participant needs
- Notified participants/families of changes in their home care schedules
- Prepared and maintains daily, weekly, and/or monthly service schedules, and other records that ensure accurate data collection of home care services
- Assisted with filing and other office functions as requested
- Responsible for the ordering and distribution of home care supplies for the participants
- Attended all departmental meetings
- Handled the tasks of verifying insurance coverage by phone, or online
- Performed responsibilities of assisting patients by explaining insurance benefits and available resources
- Handled the tasks of preparing and maintaining patient insurance information in the data system
- Responsible for handling various insurance verification and authorization management functions
- Handled and resolve patients phone calls concerning insurance claims and issues.
Certified Nurse Assistant
UConn Health Center
Farmington, CT
01.2003 - 01.2010
- Offered safe and clean environment while caring for patients
- Provided patients with any assistance needed in daily routine
- Performed 2-4 EKG's, collected numerous specimens and drew blood
- Assisted doctors and nurses in the general care of patients measured
- Recorded food and liquid intake and output, fed patients, and took vital signs
- Provided physical, emotional and social needs to patients
- Documented using appropriate forms
- Performed effectively under pressure; decisive in emergencies
- Served as Permanent Float Pool with Med/Sur, ICU, and psychiatric care.
Vocational Instructor
State of Ct Department of Corrections
Suffield, CT
01.2000 - 01.2003
- Provided instruction to 15 -25 students enrolled in each 4 modular Commercial Cleaning Vocational course
- Planned, organized, and evaluated students and their work files
- Trained over 200 student and inmate workers in job safety, as well as body fluids and blood borne pathogens cleanup
- Launched an apprenticeship program with the State of CT Department of Labor
- Instrumented in the overall cleanliness for a maximum level 4 facilities that holds approximately 1500 inmates
- Responsible for caustic chemicals inventory, janitorial supplies, and distribution to the education department
- Created a job Safety and Health Program for the Institution Janitorial worker
- Created numerous lesson plans for students needs.
Education
Diploma in Practical Nursing -
A.I. Prince Technical High School
01.2008
Skills
- Assisted Living
- EMR Systems
- Experience Administering Injections
- Utilization Management
- Mental Health Counseling
- Triage
- Nursing
- Case Management
- MDS
- Medication Administration
- Crisis Intervention
- Hospital Experience
- Patient Care
- Vital Signs
- Phlebotomy
- Medical Records
- Home Care
- Medical Office Experience
- Supervising Experience
- Communication skills
- Organizational skills
Certification
- CPR
- LPN
Assessments
- Patient-Focused Care, Highly Proficient, 07/01/20
- Work Style: Reliability, Familiar, 05/01/19
- Electronic Health Records: Best Practices, Proficient, 09/01/20
Personal Information
Title: UM clincal Reviewer
Timeline
MDS/Clinical Case Manager
Civita Care Center
11.2023 - Current
MDS Coordinator
TRINITY HILL CARE CENTER
05.2022 - 11.2023
Clinical Reviewer
CareCentrix
02.2018 - 09.2022
Residential Camp nurse
Middlesex County Camp
06.2017 - 08.2017
Visiting Nurse
Primary Prevention Healthcare
03.2014 - 06.2017
Juvenile Correctional Nurse
Maxim Staffing / HJDC
01.2013 - 01.2014
Licensed Practical Nurse
The Place At Stuart
01.2012 - 01.2013
Licensed Practical Nurse
Port St Lucie Hospital/ Behavior Health
01.2012 - 01.2013
Assistant Case Manager
Interim Healthcare
01.2011 - 01.2012
Certified Nurse Assistant
UConn Health Center
01.2003 - 01.2010
Vocational Instructor
State of Ct Department of Corrections
01.2000 - 01.2003
Diploma in Practical Nursing -
A.I. Prince Technical High School